J Korean Neurol Assoc.  2018 Aug;36(3):192-195. 10.17340/jkna.2018.3.10.

Cerebral Venous Thrombosis Presenting in Pregnancy with Thrombocytosis and Janus Kinase 2 Valine-to-Phenylalanine Mutation

Affiliations
  • 1Department of Neurology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. kimjinkwon@cha.ac.kr

Abstract

A 30-year-old woman in her first pregnancy was admitted with headache and horizontal diplopia indicating left abducens nerve palsy. Brain magnetic resonance imaging revealed a cerebral venous thrombosis. She had thrombocytosis in the peripheral blood, and a genetic test for thrombocytosis revealed the presence of the valine-to-phenylalanine (V617F) mutation of the Janus kinase 2 (JAK2) gene. Treatment with low-molecular-weight heparin resolved her symptoms of headache and diplopia. The presence of genetic disorders such as the JAK2-V617F gene mutation should be assessed in patients with cerebral venous thrombosis and coexisting thrombocytosis.

Keyword

Venous thrombosis; Pregnancy; Janus Kinase 2

MeSH Terms

Abducens Nerve Diseases
Adult
Brain
Diplopia
Female
Headache
Heparin, Low-Molecular-Weight
Humans
Janus Kinase 2*
Magnetic Resonance Imaging
Pregnancy*
Thrombocytosis*
Venous Thrombosis*
Heparin, Low-Molecular-Weight
Janus Kinase 2
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